Table 1 Overview of topics Topic no....

Table 1

Overview of topics

Topic no.	Topic name	Keywords	Examples	Number of paragraphs
1	Addressing future organisational and people needs	area, people, issue, future, need, question, look, work, certainly, good	“We have discussed the entire business capability map and defined the capabilities that we want in the future in every area that exists for us in the hospital.”	14
1	Addressing future organisational and people needs		“Then you have to improve your cleaning cycles. That is something that is not traceable at all.”	14
2	End-user-oriented processes	patient, end, get, example, see, time, process, topic, area, sense	“The digitisation of processes is how we actually have to make it as simple as possible for the user […].”	31
			“At the moment, the customer experience is central for us, and in the HR area, the biggest fields of action are the time a process can shorten.”
			“The first measure is to create more experiences, to create more individual experiences for the patients.”
3	Digitalisation management vs. digital tools	management, digital, tool, process, digitalisation, order, need, employee, whole, topic	“For us, it’s about support or how can we use tools to simplify our lives or improve the patient's life here during their stay in a clinic.”	10
			“It's no good if the tools are there, but they're not being used. It's a culture issue and a leadership issue, that's critical.”
			“[W]e map our process management in ‘Wisintra’, in this tool. This is about our employees, especially in the area of FM, who do not yet all have access to a PC and so on.”
4	Major organisational change	digitalisation, change, make, know, different, people, organisation, course, whole, huge	“I don't think it's simply about technical innovation […], but to change the entire processes across the board.”	16
			“That's the problem, because it's a huge issue, a huge complexity.”
			“There is a complete change from our people to work with this product. It's not the same as before. For certain people, that was a big change. That's where the change management comes in.”
5	Information exchange and work culture	work, process, topic, area, important, exchange, information, today, tool, culture	“We already have our network here, network topics, where you regularly exchange information with your colleagues from the other clinics.”	9
			“So today there are actually interdisciplinary exchanges, but it really depends on the respective organisations, how they are structured.”
			“The culture changes etc. to create the synergies has not happened yet and will take a long time.”
6	Digital systems	system, digital transformation, process, know, example, digitisation, area, important, part, certainly	“I think the biggest realisation of hospitals in recent years in the digital transformation, is no longer everything in one system, but systems that simply work together and can be replaced.”	15
			“But from my point of view, none of the systems can cover everything. Instead, there are many systems that talk to each other.”
			“Our system we call CAFM, which is actually an order management tool.”
7	Pressure	process, pressure, want, information, need, hospital, project, aspect, support, cost	“Yes, I feel a lot of pressure because concrete construction projects or concrete needs, concrete changes of a structural nature are necessary for various reasons.”	14
7	Pressure		“Then there is the external pressure to a certain extent with eHealth, which is also a contribution to the need for further development.”	14
8	Company-wide strategy and management support	process, support, digitalisation, management, topic, tool, goal, data, company, strategy	“In my opinion, the measures result from the strategy and goals of the company. In our company, progress, innovation and economic efficiency are clearly anchored and so we are specifically required to inform ourselves and to look for new tools in a targeted manner.”	15
8	Company-wide strategy and management support		“The strategy has not changed because of the digital transformation. Not yet in the organisation either.”	15
9	Communication involving non-medical support services	service, course, right, work, non-medical, digitally, look, year, communication, plan	“Also from the medical services, in terms of communication with the non-medical services. Where digitalisation takes place, where we try to make the communication channels as short as possible.”	15
9	Communication involving non-medical support services		“Everything with these food allergens and with the information about what is in the food, we don't have anything today that we can communicate.”	15

Topic no.	Topic name	Keywords	Examples	Number of paragraphs
1	Addressing future organisational and people needs	area, people, issue, future, need, question, look, work, certainly, good	“We have discussed the entire business capability map and defined the capabilities that we want in the future in every area that exists for us in the hospital.”	14
1	Addressing future organisational and people needs		“Then you have to improve your cleaning cycles. That is something that is not traceable at all.”	14
2	End-user-oriented processes	patient, end, get, example, see, time, process, topic, area, sense	“The digitisation of processes is how we actually have to make it as simple as possible for the user […].”	31
			“At the moment, the customer experience is central for us, and in the HR area, the biggest fields of action are the time a process can shorten.”
			“The first measure is to create more experiences, to create more individual experiences for the patients.”
3	Digitalisation management vs. digital tools	management, digital, tool, process, digitalisation, order, need, employee, whole, topic	“For us, it’s about support or how can we use tools to simplify our lives or improve the patient's life here during their stay in a clinic.”	10
			“It's no good if the tools are there, but they're not being used. It's a culture issue and a leadership issue, that's critical.”
			“[W]e map our process management in ‘Wisintra’, in this tool. This is about our employees, especially in the area of FM, who do not yet all have access to a PC and so on.”
4	Major organisational change	digitalisation, change, make, know, different, people, organisation, course, whole, huge	“I don't think it's simply about technical innovation […], but to change the entire processes across the board.”	16
			“That's the problem, because it's a huge issue, a huge complexity.”
			“There is a complete change from our people to work with this product. It's not the same as before. For certain people, that was a big change. That's where the change management comes in.”
5	Information exchange and work culture	work, process, topic, area, important, exchange, information, today, tool, culture	“We already have our network here, network topics, where you regularly exchange information with your colleagues from the other clinics.”	9
			“So today there are actually interdisciplinary exchanges, but it really depends on the respective organisations, how they are structured.”
			“The culture changes etc. to create the synergies has not happened yet and will take a long time.”
6	Digital systems	system, digital transformation, process, know, example, digitisation, area, important, part, certainly	“I think the biggest realisation of hospitals in recent years in the digital transformation, is no longer everything in one system, but systems that simply work together and can be replaced.”	15
			“But from my point of view, none of the systems can cover everything. Instead, there are many systems that talk to each other.”
			“Our system we call CAFM, which is actually an order management tool.”
7	Pressure	process, pressure, want, information, need, hospital, project, aspect, support, cost	“Yes, I feel a lot of pressure because concrete construction projects or concrete needs, concrete changes of a structural nature are necessary for various reasons.”	14
7	Pressure		“Then there is the external pressure to a certain extent with eHealth, which is also a contribution to the need for further development.”	14
8	Company-wide strategy and management support	process, support, digitalisation, management, topic, tool, goal, data, company, strategy	“In my opinion, the measures result from the strategy and goals of the company. In our company, progress, innovation and economic efficiency are clearly anchored and so we are specifically required to inform ourselves and to look for new tools in a targeted manner.”	15
8	Company-wide strategy and management support		“The strategy has not changed because of the digital transformation. Not yet in the organisation either.”	15
9	Communication involving non-medical support services	service, course, right, work, non-medical, digitally, look, year, communication, plan	“Also from the medical services, in terms of communication with the non-medical services. Where digitalisation takes place, where we try to make the communication channels as short as possible.”	15
9	Communication involving non-medical support services		“Everything with these food allergens and with the information about what is in the food, we don't have anything today that we can communicate.”	15

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